Towards developing guidelines and systems of care to facilitate early reperfusion for ST -elevation myocardial infarction in Africa
نویسنده
چکیده
outline The theme for the 15th annual SA Heart Congress for 2014, ‘Bridging the divide’ between best practice and current challenges in the management of cardiovascular conditions, inspired this editorial on the feasibility of implementing the European Society of Cardiology ‘Stent-for-Life’ initiative in sub-Saharan Africa or alternate measures of ensuring early reperfusion for myocardial ischaemia. This editorial explores the changing burden of non-communicable diseases (NCD) in Africa that impact on the occurrence of ST-elevation myocardial infarction (STEMI) in Africa, revisits international guidelines on early reperfusion and implementation of systems of care, and identifies factors related to timely myocardial reperfusion in remote areas.
منابع مشابه
Study of the Duration, Outcomes, and Related Factors of Reperfusion Therapy in Patients with ST-Segment Elevation Myocardial Infarction
Background and Objective: One of the most important advancements regarding the care of patients with acute myocardial infarction is the administration of anti-coagulation medicines (e.g., streptokinase). However, it must be noticed that this medicine requires rapid and timely administration. Moreover, Percutaneous Coronary Intervention (PCI) is increasingly used as a method of revascularization...
متن کاملThe Role of Pre-hospital and Hospital Emergency system in Ischemic Time Management of Acute Myocardial Infarction Patients: A Review
According to the latest guidelines, the best intervention to restore blood flow through occluded coronary arteries is angioplasty at a time less than 90 minutes. Delay in timely implementation of reperfusion is one of the key issues in the management of ST elevation myocardial infarction (STEMI). In this review study, papers published from 1999-2019 were used to investigate Role of Pre-hospital...
متن کاملPrevalence of Cardiovascular Risk Factors, Reperfusion Therapy and Mortality in Patients With ST-Elevation Myocardial Infarction in Elderly and Middle-ages
Objectives The prevalence of cardiovascular risk factors is different in the elderly and middle-aged. Therefore the present study aims to compare the prevalence of risk factors affecting ST-elevation myocardial infarction (STEMI), type of treatment, and mortality rate in these two groups. Methods & Materials This retrospective cohort study included 1 071 elderly and middle-aged ST-elevation my...
متن کاملEmergency medical services management of ST-elevation myocardial infarction.
According todatapublishedby theAmericanHeartAssociation (AHA), the annual incidence of acutemyocardial infarction (AMI) in the United States approximates 850,000, resulting in over 150,000 deaths per year.1 The emergency medical services (EMS) system plays a significant role in the management of AMI with respect to caring for those who access the health care system via EMS and also in administe...
متن کاملImpact of Age on Risk Factors and Clinical Manifestations of Acute Coronary Syndrome: Observations From the Coronary Care Unit of Sulaimani, Iraq
Background: ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI ) are common types of acute coronary syndrome which are associated with the risk factors of age, obesity, hypertension, and diabetes. Objective: The present study aimed to examine the effects of age on the risk factors and clinical sym...
متن کامل